RADIOMETAL COMPLEXES THAT LOCALISE IN HYPOXIC TISSUE

Abstract: The invention concerns ligands, e.g. based on alkylene amine oxime particularly butylene amine oxime ring structures, and radiometal complexes thereof. The radiometal complexes are intrinsically capable of localising in tumours or hypoxic tissue and can be used in imaging or radiotherapy.

Description: RADIOMETRAL COMPLEXES THAT LOCALISE IN HYPOXIC TISSUE A Prior Art Discussion 1 Ligand Systems US 4615876 discloses neutral technetium complexes of diaminedioxime (or bis aminooxime) ligands having 2 to 4 carbons in the bridging group. The emphasis is on PnAO which forms stable, relatively lipophilic technetium complexes. PnAO analogues and derivatives are disclosed for various radiopharmaceutical applications including brain imaging and myocardial metabolism studies (using PnAO-fatty acid conjugates) . The only butylene-bridged ligand complex prepared was the parent Tc-BnAO which was shown to be neutral, stable and less lipophilic than Tc-PnAO. diaminedioxime Volkert et al. ' (1984) studied the radiolabelling and rat biodistribution of the 99mTc complexes of EnAO, PnAO and BnAO. Tc-BnAO was found to exhibit insignificant brain uptake (0.12% injected dose at 30 sec pi) whereas with Tc-EnAO and Tc-PnAO the figures are 0.74% and 1.3% respectively. Consequently subsequent radiopharmaceutical development focused on PnAO ligands and desmethylated PnAO analogues have been patented as technetium brain imaging agents (US 4789736 and US 4818813) . Budsky et al. ' (1990) outline a synthesis of the BnAO analogue shown (n=4). Therefore, despite the fact that Tc-BnAO was first disclosed in 1984, no radiopharmaceutical applications for this ligand system have been described. Jurisson et al. ' (1987) characterised the technetium complexes of a series of diaminedioxime ligands with n=2 to 5. X-ray crystal structures of the 99Tc complexes confirmed that both EnAO and PnAO (4' give technetium complexes with a Tc(V) monoxo core, whereas PentAO has a Tc(V) dioxo core. 99Tc-BnAO was not crystallographically characterised, but infra-red data suggested a dioxo core. Troutner et al. ' (1986) disclosed the technetium complex of an EnAO analogue with expanded chelate rings, H 2 dddo. The complex was found to be less lipophilic than Tc-PnAO. H 2 dddo 2 Hypoxia Imaging Radiopharmaceuticals which selectively concentrate in hypoxic cells are highly desirable since they could permit the diagnosis of potentially salvageable tissue which is at risk of infarction. Organs of interest for imaging would include heart and brain. Certain tumours are also known to be hypoxic, hence a hypoxia-specific radiopharmaceutical could also be used for the diagnosis and radiotherapy of tumours. It is also believed that hypoxia-selective radiopharmaceuticals could be useful for the detection of peripheral vascular disease. Various nitro-heteroaromatic compounds including radiosensitisers such as misonidazole are known to be trapped in hypoxic cells. Preferred examples are 2- nitroimidazoles. 18F-radiolabelled and radioiodinated misonidazole analogues have been described for hypoxia imaging and include 123I-iodoazomycin arabinoside (IAZA) (6,7 and 18 F-misonidazole (8) . The preferred isotope for radiopharmaceutical imaging is 99mTc by virtue of both its availability and imaging characteristics. Prior art attempts to design a radiometal (e.g. 99mTc, 186Re or 188Re) hypoxia agent were based on a conjugate of a radiometal ligand and a hypoxia-localising moiety, such as a nitroimidazole. Thus EP 417870 claims nitroimidazole conjugates of diaminediphenol and PnAO ligands. A complex of a diaminediphenol-nitroimidazole conjugate is disclosed which has a hypoxic/oxic ratio of 2:8 in an in vitro cell model. EP 441491 A1 discloses boron-capped tris (dioxime) "BATO" technetium complexes in which the boronic acid moiety is functionalised with a nitroheteroaromatic hypoxia-localising moiety. EP 544412 A2 claims a range of diaminedioxime (n=2-5) and N_S 2 diaminedithiol ligands functionalised with at least one hypoxia-localising moiety. Such hypoxia localising groups are described in detail on pages 7-10 and Claims 18-22 of the application. The localising groups described encompass a wide range of nitroheterocycles. The supporting Examples are limited to 2 particular ligand systems - PnAO and BAT, but several 2- and 4-nitroimidazole conjugates of these ligands are prepared. No examples of diaminedioxi es other than PnAO are disclosed. BAT Indeed, pages 6 to 7 of EP 544412 envisage that the technetium complexes of such ligands will only have a monoxo core (Tc=0) , when it is well .known in the field that Tc-PentAO (n=5) has a dioxo core' ' and Tc-BnAO is believed to be similar (3') . The technetium complexes of the PnAO-nitroimidazoles described show modest hypoxia selectivity in a variety of in vitro screens. US 5026694 claims square planar platinum complexes containing at least one nitroheterocycle ligand (e.g. a nitroimidazole) as radiosensitizers. The idea of rraaddiolabelling such complexes with 99Tc(sic), 131I or 111 In for imaging hypoxic tumours is disclosed. For technetium or indium, however, this would clearly require a binuclear complex and is therefore no different in concept to other chelate-radiosensitizer conjugates. US 5100885 reveals that copper (II) complexes are known both as radiosensitizers and radioprotective drugs and that it is not possible to predict which mode of action will prevail. US 5100885 discloses mixed ligand Cu(II) complexes of bipyridyl or phenanthroline with bidentate oxygen ligands such as diacids or diphenols as radiosensitizers. There is no suggestion of the use of radiometals for imaging and the complexes described are completely different from those claimed here. B The Invention This invention discloses a range of ligands which form radiometal complexes capable of localising selectively in hypoxic cells. The conventional approach to the design of radiometal (e.g. 99mTc) hypoxia-targeting agents is simply to prepare chelate-conjugates of known hypoxia-localising or targeting moieties such as nitroheterocycles, especially nitroimidazoles. It is the surprising finding of this invention that certain ligand systems form radiometal complexes with the intrinsic property of localising in hypoxic cells, i.e. a conjugated targeting molecule (such as a nitroimidazole) is unnecessary. In addition these radiometal complexes, particularly of 99mTc, have be( shown to exhibit much higher selectivity for hypoxic cells than prior art complexes. In one aspect this invention provides radiometal complexes for imaging or radiotherapy of hypoxic tissue. A radiometal complex is of a substituted or unsubstituted ligand, whereby such complex has the intrinsic property of localising in tumours or hypoxic tissue, and wherein the ligand is not substituted by any hypoxia-localising moiety. The ligand is preferably a diaminedioxime having the structure where n = 2 - 5 , m = 0 , 1 , 2 , Y is independently H or R, R, R' are independently: H, C. , Q linear or branched hydrocarbon which may be alkyl or one or more of alkenyl; alkoxy; alkoxyalkyl; primary, secondary or tertiary amide; primary, secondary or tertiary amine,- carboxylic acid; hydroxyalkyl; aryl; heterocyclic; heteroaryl or two R groups taken together with the atom(s) to which they are attached form a carbocyclic, heterocyclic, saturated or unsaturated spiro or fused ring; or the two R groups of a CR 2 or CRR' group adjacent to a NR group may be combined to give one or more -CONR- amide groups, A and B are independently chosen and: either each A and B is -CR 2 ~, - or AA and/or BB is -CR=CR- , -N=N- , -NR-NR- or -N=CR-, or AAA is -CR 2 -0-CR 2 ~, -CR 2 -S-CR 2 - or -CR 2 -NR-CR 2 ~. These complexes are usually neutral. The radiometal is preferably technetium, rhenium, rhodium or cobalt. For imaging purposes, the radiometal is preferably technetium-99m and the complex preferably has the formula [TcOL] where L is the ligand. In another aspect the invention provides a complex having the intrinsic property of localising in tumours or hypoxic tissue, of a radiometal with a ligand having the structure 2 where at least one R is -A-R , where A is a 2 linking group and R is a hypoxia localising moiety, Y is independently H or R, and the other R and R ' are independently: H, C, .- linear or branched hydrocarbon which may be alkyl or one or more of alkenyl; alkoxy; alkoxyalkyl; primary, secondary or tertiary amide,- primary, secondary or tertiary amine; carboxylic acid; hydroxyalkyl; aryl; heterocyclic; heteroaryl or two R groups taken together with the atom(s) to which they are attached form a carbocyclic, heterocyclic, saturated or unsaturated spiro or fused ring; or the two R groups of a CR 2 or CRR ' group adjacent to a NR group may be combined to give one or more -CONR- amide groups. Although the ligands described have the intrinsic property of localising in tumours or hypoxic tissue, it is nevertheless possible to link the ligand to a hypoxia-localising moiety. In another aspect of the invention, certain of the ligands described, which may optionally be linked to a hypoxia localising moiety, are claimed as new compounds per se together with their radiometal complexes. Hypoxia-localising moieties, and techniques for linking them to metal-chelating moieties, are described in WO 94/08949 which is incorporated herein by reference. In another aspect, the invention provides radio imaging kits comprising ligands as described, preferably with stannous reducing agent in a freeze-dried state, adapted on addition of 99mTc pertechnetate to form a complex for radio imaging. In yet another aspect, the invention provides a method for imaging or radiotherapy of hypoxic tissue of a patient which method comprises administering to the patient an effective amount of a complex as defined. The hypoxic cell uptake experiments in an isolated perfused heart model (Example 21) indicate that much of the hypoxia selectivity of the prior art 99mTc complex of Compound 5 is, in fact, due to the Tc-PnAO complex itself. This effect is seen more dramatically for the 99m Tc complex of Compound I (BnAO) , which shows significantly greater hypoxic cell selectivity than the corresponding nitroimidazole conjugate, i.e. 99mTc- Compound II. Introduction of a second nitroimidazole (Compound XI) only further reduces the hypoxia selectivity. Comparison of 99mTc compound VII and Compound XII shows that exchanging an ethyl group for the nitroimidazole ring has little or no effect on both the hypoxic/oxic ratio and normalised hypoxic retention. Thus the nitroimidazole "hypoxia-localising moiety ' has minimal effect on the targeting of the radiometal complex since the intrinsic properties of the radiometal complex are predominantly responsible for the hypoxia selectivity. The differences which are observed with the nitroimidazole conjugates are probably largely attributable to simple alteration of the lipophilicity/hydrophilicity balance of the complex. This invention demonstrates that certain radiometal complexes possess intrinsic bioreductive properties, i.e. they are reduced in hypoxia regions of mammalian systems to species (as yet unknown) which are then trapped - giving hypoxia selective radiopharmaceuticals. A further indication of the reducibility of certain technetium diaminedioxime complexes is the use of a non-specific chemical spot- test for a reducible moiety - the zinc/ammonia test. Example 19a demonstrates that, under such conditions, most of the technetium complexes studied, whether they contain a nitroimidazole or not, undergo reduction to a new species (as evidenced by HPLC) . It is interesting to note that 99mTc-Compound IV which has a PentAO ligand and hence a Tc(V) dioxo core appears inert to Zn/NH 3 and also exhibits very little hypoxia selectivity in the IPH screen. The radically different behaviour of 99mTc-Compound I (BnAO) suggests that, contrary to literature conclusions (3)' , Tc-BnAO does not have a dioxo core and this is crucial to the bioreductive properties of the complex. EP 544412 A2 (Example 8a) reports that Tc-PnAO (Compound X) is not reduced by the reductase enzyme xanthine oxidase (XOD) . This invention demonstrates, however, that a number of 99mTc-ligand complexes, including PnAO, are reduced by xanthine oxidase (see Example 19b). The different behaviour observed for 99m Tc-PnAO compared to the 99Tc complex is presumably due to the concentration of radiometal complex used in the assay. The ligands of this invention can be synthesised according to Schemes 1 to 5 and Examples 1 to 17. Scheme 1 Scheme 2 Compound IV - 1 2 - Scheme 3 Compound XIV Scheme 4 Compound XVI Scheme 5 n = 2,3,4 ^-( CH 2)n" 1) NH,OCH a vHCI il) H,,Pet/C (catalyst) n=2: Hgdddo n=3: Compound XVII n=4: Compound XVIII D Experimental The synthesis of 2- (4-aminobutyl)amino-2-methyl-3- pentanone oxime is described herein. 3- (4- aminobutyl)amino-3-methyl-2-butanone oxime, 3-(5- aminopentyl)amino-3-methyl-2-butanone oxime and 2-(4- aminobutyl)amino-2-methyl-1-propanal oxime were prepared using analogous methods. H 2 ddd0 was prepared by the method of Schlemper et al. . i.) Synthesis of 2-(4-aminobutyl)amino-2-methyl-3- pentanone oxime To a stirred solution of 1 , 4-diaminobutane (0.26g; 2.9mmol) and triethylamine (0.33g; 3.2mmol) in acetonitrile (5ml) was added a solution of 2-chloro-2-methyl-3- nitrosopentane (0.485g;3.24mmol) in acetonitrile (5ml). After stirring for ≤a. 10 minutes the product began to precipitate. The reaction mixture was stirred overnight and the product was filtered off and dried in vacuo to give a white powder, (0.5g; 86%). Analysis : m.p. 125 - 128°C 13 C NMR : (CDC1 3 ) δ (ppm): 11.2 (s), 19.3 (s), 24.2 (s),26.4 (s), 26.8 (s), 40.4 (s), 43.7 (s), 61.5 (s), 161.6 (s) . ϋ) 3- (4-aminobutyl.amino-3-methyl-2-butanone oxime Analysis ; m.p. : 62 - 64°C 1 H NMR : (D 2 0) δ (ppm) : 1.20 (S; 6H; -CH 3 ), 1.4-1.6 (m; 4H, "CH 2 ), 1.80 (S; 3H; -CH 3 ~C=N-0) , 2.40 (t; 2H; CH 2 ~ Cϋ 2 -N), 2.75 (t; 2H; CH 2 -Cϋ 2 "N) . Hi ) 3- (5-aminopentyl) amino-3-methyl-2-butanone oxime Analysis : m.p. 174 176°C, H NMR : (D 2 0) δ (ppm) : 1.20 (S; 6H; ~CH 3 ), 1.3-1.6 (m; 6H, ~CH 2 ), 1.75 (S; 3H; -CH.--C=N-0) , 2.35 (t; 4H; CH^ £H 2 -N) . iv) 2- (4-aminobutyl iamino-2-methyl-1-propanal oxime Analysis : m.p. 136 - 137°C 1 H NMR : (D 2 0) δ (ppm) : 1.05 (s; 6H -CH 3 ), 1.15 (m; 2H, -CH 2 ), 1.25 (m; 2H -CH 2 -), 2.20 (t; 2H; CH 2 ~Cϋ 2 -N) 2.45 (t; 2H CH 2 -Cϋ 2 -N), 7.15 (S; H-C=N) . Synthesis of 2-Chloro-2-methvl-3-nitrosopentane Dry hydrogen chloride gas was passed into a mixture of 2-methyl-2-pentene (20g, 237mmol) and iso-amyl nitrite (55.67g, 475mmol) cooled to -20°C. The reaction mixture was left to stir at 0 C overnight and the precipitated material was then filtered off and washed with cold (-20°C) ethanol (3 x 5ml) . The product was dried in a stream of air and was used without further purification, (13g, 36%). Analysis : m.p. 83 - 85°C 13 C NMR : (CDC1 3 ) δ (ppm): 11.5 (s), 22.2 (s), 29.5 (s), 30.0 (s), 69.3 (s), 74.5 (S). Synthesis of N-f3-chloro-2-,hvdroxvimino■-3- ethylbutyl)-2-nitroimidazole 2-Nitroimidazole (2g, 17.7mmol) was added to a solution of sodium hydroxide (0.76g, 19mmol) in water (20ml). Tne solution was stirred for £& 1h. at RT, the water was removed under reduced pressure and the residue dried in vacuo for at least £& 3h. To the sodium salt of 2-nitroimidazole prepared above was added acetonitrile (50ml), 15-crown-5-ether (3.5ml, 14.3mmol) and 4-bromo-2-methyl-2-butene (2ml; 17.4mmol). The mixture was stirred at RT for £& 16h. and then the solvent was removed to leave a crude semi-solid which was purified by column chromatography on silica. The intermediate product, 1- (3-methyl-2- butenyl)-2-nitroimidazole (80% yield) was eluted using a mixture of petroleum ether (40-60)/ethyl acetate (ratio 4:1 respectively). The N-alkylated product of first step (1.0g, 5.5mmol) was dissolved in iso-amyl nitrite (1.0ml, 7.4mmol) at RT and then cooled in an ice bath (outside temp, measured -8 C) . Concentrated hydrochloric acid (0.9ml, 36% HC1) was added dropwise while stirring. The reaction was stirred for c , 15 min. before storing overnight at -20 C. Glacial acetic acid (10ml) was added and the mixture was kept at -20°C for ££ 30-35 min. Methanol (10ml, cold) was added and the reaction mixture was stored at 10 -15 C for QS 3h., whence a white precipitate formed. The product was filtered very quickly, washed with ice-cold methanol (5ml) and then dried in vacuo. yielding the compound as a white powder. •15 Analysis : m.p. = 94 - 96°C dec. 1 H NMR : (CD 3 CN) 0 δ (ppm): 1.80 (S; 6H; "CH 3 ), 5.43 (S; 2H; N=C-CH 2 "N) , 7.05 (S; 1H; 4 H) , 7.20 (S; 1H; 5 H) , 9.63 (S; 1H; N-OH) . 3 C NMR : (DMSO-dg) 25 δ (ppm) : 30.02 (s), 42.38 (S), 70.66 (s) , 126.41 (s), 127.53 (s), 153.25 (S). Example 1 30 Synthesis of 4.9-diaza-3.3.10.10-tetramethyldodecan- 2.11.-dione dioxime (Compound I. BnAOϊ Into a 3 litre, 3 necked flask fitted with an Argon 5 inlet, reflux condenser, overhead stirrer and pressure equalising dropping funnel was added acetonitrile (1000 ml), 1 , 4-diaminobutane (19.5g, 0.23mol) and sodium bicarbonate (37.2g, 0.46mol). This mixture was stirred vigorously at ambient temperature, under an argon atmosphere, to maintain a suspension of the insoluble bicarbonate. 2-chloro-2-methyl-3-nitrosobutane (60g, 0.46mol) was dissolved in acetonitrile (600 ml) and added dropwise, with stirring, into the reaction vessel over C 15-20 minutes. Following the addition, the reaction mixture was stirred for a further 1 hour and then heated to ≤a. 6 ' 0°C for 30 minutes. The reaction mixture was allowed to cool to RT and the white solid present, (NaHC0 3 /NaCl and product) was filtered off. The desired product was extracted into hot methanol, filtered hot, the solvent concentrated to £& 50% volume, cooled and refiltered. The solid material was dissolved in the minimum volume of hydrochloric acid (0.1M) and the pure product isolated, as a precipitate, by adjusting the pH of the solution to pH = 11 using sodium hydroxide (0.1M). After filtering and drying the product, recrystallisation from hot methanol, yielded 4,9-diaza-3, 3,10, 1O-tetramethyldodecan-2, 11-dione dioxime as white needles, (20g; 30.4%). Analysis : m.p. 183 186°C. 1 H NMR : (DMSO-dg) δ (ppm) : 1.10 (s, 12H, ~CH 3 ), 1.30 (m, 4H, -CH ) , 1.70 (s, 6H, -CH 3 -C=N-0) 2.10 (m, 4H; -CH 2 -N), 10.34 (s, 2H, Oxime) δ (ppm) 10.3 (s), 26.4 (s), 29.7 (s), 45.0 (s), 59.4 (s), 162.2 (s) Example 2 Synthesis of 3.3.10.10-tetramethyl-1- (2-nitro-1H- imidazo-1-yl-4.9-diazadodecan-2.11-dione dioxime (Compound II) A solution of 1-(2-nitro-1-imidazola)-3-chloro-3- methylbutan-2-one-2-monoxime (656mg; 2.66mmol) in absolute ethanol (70ml) was added to a slurry of 3- (4- aminobutyl)-amino-3-methyl-2-butanone oxime (500mg; 2.66mmol) and sodium bicarbonate (1g; 11.97mmol) in a mixture of dry acetonitrile (35ml) and absolute ethanol (35ml), over a period of ≤a 10'. The reaction mixture was stirred for £& 72h., and then the solvent was removed under reduced pressure. Water (30ml) was added to the residual oil and the slurry was acidified to pH=4 using HCl (2M) yielding a clear solution. Any organic impurities were extracted into diethylether (3 x 50ml) prior to the dropwise addition of NaOH (2M) to the aqueous phase. At pH = 10-11, the product precipitated from solution and was isolated by filtration in air, washed with water, and dried in vacuo to yield Compound II as a cream powder. Analysis : m.p. : 151 - 152°C 1 H NMR : (CD 3 OD) δ (ppm): 1.18 (S; 6H; -CH 3 ), 1.20 (S; 6H; -CHg) 1.40 (m; 4H, • CH 2 ) 1.75 (S; 3H; • CH 3 -C=N-0), 2.16 (t; 2H; CH 2 -CJi 2 - N) 2.30 (t; 2H; N-Cϋ 2 -CH 2 ), 5.28 (S; 2H; 0-N=C-CH 2 "N) , 7.05 (S; 1H; 4 H) , 7.35 (S; 1H; 5 H). Example 3 Synthesis of 4.10-diaza-3.3.11.11-tetramethyltridecan- 2.12-dione dioxime (Compound III. PentAOi This compound was prepared according to the literature 3 method . Analysis : m.p. 130 - 132°C 1 H NMR : (CD 3 OD) δ (ppm): 1.20 (S; 12H; "CH 3 ), 1.3-1.5 (m; 6H, -CH 2 ) , 1 - 75 (s 6H -CH 3 -C=N-0), 2.35 (t; 4H ; CH 2 -CU 2 -N) Example 4 Synthesis of 3.3.11.11-tetramethyl-1- (2-nitro-1H- imidazo-1-vlϊ-4.10-diazatridecan-2.12-dione dioxime (Compound IV) This product was prepared by the method used for Compound II, substituting 3-(5-aminopentyl)amino-3- methyl-2-butanone oxime for 3- (4-aminobutyl)amino-3- methyl-2-butanone oxime. Analysis : m.p. : 135 - 137°C 1 H NMR : (CD 3 OD) δ (ppm) : 1.20 (s; 6H; ~CH 3 ) 1.25 (S; 6H; • CH 3 ), 1.3-1.5 (m; 6H, ~CH 2 ), 1.75 (S; 3H; -CH 3 ~C=N-0) , 2.2-2.35 (m; 4H; CH 2 -£ϋ 2 -N) , 5.28 (S; 2H; 0-N=C-£H 2 -N) , 7.05 (S; 1H; 4 H) , 7.35 (S; 1H; 5 H) . Example 5 Synthesis of 3.3.9.9-Tetramethyl-1- (2-nitro-1H-imidazo-1 -yl) -4.8- diazaundecane-2.10-dione dioxime (Compound V. Prior Art) This compound was prepared by the method described in the Squibb Patent : EP 544412 A2, see Example 1, p.20 - 21. ' Analysis ; m -P' 146 - 148 C 1 H NMR (CDC1 3 ) δ (ppm) 1.25 (s; 6H; ~CH 3 ), 30 (s; 6H, -CH 3 ) 1.60 (S; 2H -CH 2 ) 1.80 (S; 3H; ■ CH 3 -C=N-0) , 2.35 (q; 4H CH 2 -Cϋ 2 -N), 5.28 (S; 2H 0-N=C-CH,-N) , 7.05 (S; 1H; 4 H) , 7.35 (S; 1H 5 H) . Example 6 Synthesis of 3.8-diaza-2.2 f 9.9-tetramethyldecan-1.10- dial dioxime (Compound VI) This compound was prepared in an analogous method to 9 the published synthesis of PnAO , using 2-chloro-2- methyl -1 -nitrosopropane. Analysis : m.p. 165 - 168 C 1 H NMR : (CD 3 OD) δ (ppm) : 1.10 (S; 12H; "CH.-), 1.25 (m; 4H, -CH 2 ), 2.25 (t; 4H; CH 2 -Cϋ 2 "N) , 7.15 (S; 2H; H-C=N-0) . Example 7 Synthesis of 3.8-diaza-10- (hydroxyimino) -2.2.9.9- tetramethyl dodecanal oxime (Compound VII) To a stirred solution of 2- (4-aminobutyl)amino-2- methylpropanal oxime (0.5g; 2.9mmol) in methanol (5ml) was added a solution of 2-chloro-2-methyl-3- nitrosopentane (0.44g; 2.9mmol) in acetonitrile (5ml) . The reaction mixture was stirred overnight and the solid filtered off and recrystallised from methanol. The product, after drying in vacuo f gave colourless needles, (0.46g; 58%) . Analysis ; m.p. : 185 - 188°C. 1 H NMR (CD 3 OD) δ (ppm) 1.15 (t; 3H CH 2 -Cϋ 3 ), 1.31 (S; 6H; -CHg), 1.46 (s; 6H -CH 3 ) 1.67 (m; 4H; -CH 2 ), 2.36 (q; 2H ^£H 2 -CH 3 ), 2.63 (t; 2H; CH 2 ~N) 2.84 (t; 2H CH 2 -N), 7.31 (S; 1H; H-C=N-0) . δ (ppm) 11.1 (s) 19.4 (s), 23.7 (s), 24.9 (s) , 26.7 (s), 27.8 (S) 43.6 (s), 43.7 (s), 56.5 (s), 62.1 (s), 154.5 (S), 160.9 (S) Example 8 The Synthesis of 5.10-diaza-4.4.11. 11 -tetramethyltetradecan-3.12-dione dioxime (Compound VIII) To a stirred solution of 2- (4-aminobutyl)amino-2- methyl-3-pentanone oxime (0.2g; Immol) and triethylamine (0.11g; Immol) in methanol (5ml) was added a solution of 2-chloro-2-methyl-3-nitrosopentane (0.116g; 1.08mmol) in acetonitrile (5ml) . The reaction mixture was stirred overnight and the solvent removed in vacuo to yield the crude product. This material was dissolved in methanol and the product precipitated by the addition of diethylether. After filtering, the product was dried in vacuo to . give a white powder (0.18g; 58%) . Analysis : m.p. 194 - 197°C. 1 H NMR : (CD 3 OD) δ (ppm) : 1.14 (t; 6H; CH j -CJig), 1.39 (S; 12H; "CH.-), 1.65 (m; 4; -CH 2 ) 2.34 (q ; 4H; ^£H 2 -CH 3 ), 2.71 (m; 4H; CH 2 ~N) . - 20 - 13 C NMR : (CD 3 OD) δ (ppm) : 11.12(s), 19.2 (s) , 24.3 (s), 27.1 (s), 43.7 (s), 61.1 (s) , 162.1 (s) . Example 9 The Synthesis of 4.9-diaza-3.3.10.10- tetramethyltridecan-2.11 -dione dioxime (Compound IX) To a stirred solution of 3- (4-aminobutyl)amino-3- methyl-2-butanone oxime (0.5g; 2.67mmol) and triethylamine (0.3g; 2.9mmol) in methanol (5ml) was added a solution of 2-chloro-2-methyl-3-nitrosopentane (0.43g; 2.9mmol) in acetonitrile (5ml) . The reaction mixture was stirred overnight and the solvent removed in vacuo to yield the crude product. This material was dissolved in methanol and the product precipitated by the addition of diethylether. After filtering, the product was dried in vacuo to give a white powder (0.46g; 57%) . Analysis m.p. 190 193 C. 1 H NMR (CD 3 OD) δ (ppm) 1.15 (t; 3H CH 2 -Cϋ 3 ), 1.37 (s; 6H; "CH.-) 1.42 (s; 6H -CH 3 ) 1.67 (m; 4H -CH 2 ), 1.86 (S; 3H; -CH..), 2.35 (q; 2H ^£H 2 -CH 3 ), 2.68 (t; 2H CH 2 -N), 2.77 (t; 2H; CH 2 "N) . δ (ppm) 9.7 (s), 11.2 (s), 19.3 (s), 24.4 (d) , 26.9 (d) , 43.7 (d), 60.8 (s), 61.6 (s), 158.5 (s), 161.6 (s) Example 10 The Synthesis of 1.12-bis (2-Nitro-1 -imidazolyl) -4.9- diaza-3.3.10.10-tetramethyldodecan-2.11 -dione dioxime (Compound XI) To a stirred solution of 1 , 4-diaminobutane (90mg, 1 mmol) and triethylamine (200mg, 2mmol) in methanol 3 (10cm ) was added dropwise a solution of 1-(3-chloro-3-methyl-2-nitroso)butyl-2-nitroimidazole 3 (500mg, 2mmol) in acetonitrile (10 cm ). The reaction mixture was stirred for 48 h, after which time the reaction mixture was filterd. The solid material was found to be 1 , 12-bis(2-Nitro-1- imidazolyl)-4, 9-diaza-3, 3,10,10-tetramethyldodecan-2, 11-dione dioxime, (165mg, 35%) Analysis : m.p. : 168-170°C 1 H NMR : (dg-DMSO) δ (ppm) : 1.18 (14H,s, Overlapping resonances), 2.08 (4H,s), 2.50 (2H,t,J HH 7.2Hz), 5.23(4H,s), 7.11(1H, d,J HH 1.2Hz), 7.29H, d,J HH 1 ,2Hz) . 13 C NMR : (CD 3 OD) δ (ppm) : 25.48(x4) (CH3) , 27.96(CH2), 42.39 (x2) (CH2) , 56.86(x2) (q) , 126.48 (x2)(CH), 127.35 (x2)(CH), 145.35(x2) (q) , 156.53(x2) (q) . Example 11 The Synthesis of 3.8-diaza-10-hydroxyimino-11-(2-nitro-1-imidazolyl) -2.2.9.9- tetramethylundecanal oxime (Compound XII) To a stirred solution of 2-(4-aminobutyl)amino-2- methylpropanal oxime (191mg, 1.1 mmol) and triethylamine (121mg, 1.21mmol) in methanol (10cm ) was added a solution of 1 - (3-chloro-3-methyl-2- nitroso)butyl-2-nitroimidazole (300mg, 1.21mmol) in acetonitrile (10cm ) . The reaction mixture was stirred overnight, and volatile components then removed in vacuo to leave a yellow semi-solid material. This 3 product was then taken up in water (10cm ) and any insoluble material filtered off. The filtrate was purified using reverse phase HPLC eluting with 50:50 methanol/water to give Compound XII as a yellow viscous oil. (40mg, 10%) . Analysis 1 H NMR : (CD 3 OD) δ (ppm) : 1.17-2.4 (4H,m, Overlapping resonances), 1.26 (6H,s), 1.27 (6H,s) 2.26 (2H, t,J HH 7.2Hz), 2.50 (2H, t,J HH 7.2Hz), 5.35(2H,s,), 7.09 (1H,d, J RH 1.2Hz), 7.27 (1H,s), 7.34(1H,d, J HH 1.2Hz) δ (ppm) : 25.14(x2) (CH 3 ) , 25.8 (x2) (CH 3 ) 28.45 (CH 2 ), 28.98 (CH 2 ), 41.99 (CH 2 ), 43.87 (CH 2 ), 43.91 (CH 2 ), 55.82 (q), 58.52 (q) 127.58 (CH) , 128.17 (CH) , 155.15 (q) . Example 12 The Synthesis of 4.9-Diaza-3.10-dimethyldodecan-2.11 - dione dioxime (Compound XIII) A .9-Diaza-3.9-diene-3.10-dimethyldodecan-2.11 -dione dioxime Butan-2, 3-dione monooxime (10.11g 0.1 mol) was dissolved in benzene (125 cm ) and heated under reflux. A solution of 1 ,4-diaminobutane (3.97g, 45mmol) in 3 benzene (100 cm ) was added dropwise over a period of five hours, heating was continued over night. On cooling, a cream solid precipitated which was isolated by vacuum filtration and used without further purification (10.8g, 94%). Analysis : 1 H NMR : DMSO δ (ppm) : 1.5 (4H, brs, CH 2 ), 1.72 (6H, s, CH 3 ), 1.80 (6H,s, CH 3 ), 3.20 (4H, brs, NCH 2 ). 13 C NMR : DMSO δ (ppm) : 9.12 (x2), CH 3 , 13.1 (x2)CH 3 , 28.7 (x2)CH 2 , 51.2 (x2)(NCH 2 ), 156.7 (x2)q, 163.6 (x2)q. B 4.9-Diaza-3.10-dimethyldodecan-2.11-dione dioxime Sodium borohydride (0.3g, 7.85 mmmol) was added dropwise to a stirred, precooled (ice.salt) solution of the diimine prepared above (2g, 7.85 mmol) in absolute 3 ethanol (20 cm ) over a period of 30 minutes. The reaction mixture was stirred for a further 2 hours, 3 water (10cm ) was then added and the pH of the aqueous phase made neutral by the addition of dilute HCl. The solvent was removed in vacuo to give a white powder. A sample of this material was purified using reverse phase HPLC using water/methanol (50:50) as the eluent to give a colourless solid. Analysis : m.p. : 210°C (decomposes) Elemental Analysis, for c i2 H 26 N 4°2* Expected : C 55.79, H 10.14, N 21.69. Found : C 55.72, H 10.44, N 21.18 % 1 H NMR : D 2 0 δ (ppm) : 1.49 (6H, d, 6.8 Hz, CH 3 ), 1.76-1.85 (4H, m, CH 2 ), 1.91 (6H, s, CH 3 ), 3.0-3.06 (4H, m, NCH 2 ), 3.92 (2H, q, 6.8 Hz,NCH) 13 C NMR : CD 3 0D δ (ppm) : 11.6 (x2) (CH 3 ), 16.4 (x2) (CH 3 ), 24.5 (x2) (CH 2 ) , 58.4 (x2) (CH), 153.2(x2) (q) . Example 13 The Synthesis of N.N'-Bis (4-acetyl-tetrahydropyran-4- yl) -1.4-diaminobutane dioxime (Compound XIV) A solution of 4-chloro-4- (1 - nitrosoethyl) tetrahydropyran (500mg, 2.91 mmol) in 3 acetonitrile (15 cm ) was added to a stirred solution of 1 , 4-diaminobutane (120mg, 1.36mmol) and triethylamine (300mg, 2.98 mmol) . On addition a white solid precipitated from the reaction mixture. The reaction was left to stir for a further 15 minutes after which time the solid material was filtered off under vacuum. Recrystallisation from methanol gave the product as a white powder (150mg, 30%) Analysis : m.p. : 183°C 1 H NMR : CDC1 3 /CD 3 0D) δ (ppm) : 1.45 (4H, m, CH 2 ), 1.65 (4H,m with doublet of triplet character, CH) , 1.79 (3H, s, CH 3 ), 1.80 (3H, s, CH 3 ), 2.03 (4H, m with doublet character, CH) , 2.33(4H, m,CH 2 ), 3.60 (4H, m with doublet of triplet character, CH), 3.20 (4H, m, CH) . δ (ppm) : 9.17 (x2)(CH 3 ), 28.69 (x2)(CH 2 ), 34.42 (x2)(CH 2 ), 42.18(x2) (CH 2 ) , 57.86 (x2) (q) , 64.79 (x2)(CH 2 ), 158.65(x2) (q) Example 14 Synthesis of 3.10-Bis(methoxymethvl)-4.9-diaza-1.12- dimethoxy-3. 0-dimethvldodecan-2.11-dione dioxime (Compound XV) A solution of 2-chloro-2-methoxymethyl-4-methoxy-3- nitrosobutane (0.19g, 1.2mmol) in acetonitrile (2.5ml) was added to a stirred suspension of 1 ,4-diaminobutane (44mg, 0.6mmol) and sodium bicarbonate (0.25g) in acetonitrile (2.5ml). Following the addition, the reaction mixture was heated under reflux for £a. 5h. and stirred at RT for a further SA 72h. After removing the solvent in vacuo. water (30ml) was added to the residual oil and the slurry was acidified to pH=4 using HCl (2M) yielding a clear solution. Any organic impurities were extracted into diethylether, (3x50ml) prior to the dropwise addition of NaOH (2M) to the aqueous phase. At pH = 10-11, the product was extracted into dichloromethane (3 x 50 ml) . The dichloromethane fractions were bulked together, dried over magnesium sulphate, filtered and taken to dryness to yield a colourless semi-solid. A sample of this material was purified by reverse phase HPLC using the following conditions: Column PRP 1 Solvent A H 2° Solvent B MeCN Flow 2.5ml/min Gradient 0 - 100% Solvent B over 15 minutes. Detector U.V; wavelength set at 210nm. Retention Time : 13.5 minutes. Analysis ι H NMR : CDC1 3 (Isomers present) δ (ppm) : 1.25 (6H, s, CH..), 1.50 (4H, br, CH 2 ), 2.40 (4H, br, CH 2 -N), 3.30 (12H, m, overlapping 0-CH 3 resonances), 3.45 (4H, m (masked), -Cϋ 2 -0Me), 4.3 (4H, m, N=C-C_H 2 -OMe) . Example 15 The Synthesis of 4.9-diaza-3.3.10.10-tetramethyldodecan-2.11-dione dioxime-8-carboxylic acid methyl ester (Compound XVI) To a freshly prepared solution of sodium ethoxide, (294mg Na in 20 ml of dry ethanol), stirred under a dry dinitrogen atmosphere, was added L-ornithine.HCl, (1g, 6mmol ) . The reaction mixture was stirred for ca 1 at RT and then the solvent was removed in vacuo. The free base generated from this reaction was immediately redissolved in a mixture of dry acetonitrile (10 ml) and dry ethanol (15ml) and stirred. A slurry of 2- chloro-2-methyl-3-nitrosobutane (1.58g, 12mmol) and sodium bicarbonate (4.5 Meq) in dry acetonitrile was added dropwise to the free base L-ornithine solution over a period of 10 minutes, and the reaction mixture was stirred at RT for Q& 18h. After the solvent was removed in vacuo, water (40 ml) was added to the residue. The resulting slurry was acidified to pH=4 using HCl (2M) yielding a clear solution. Any organic impurities were extracted into diethylether (3 x 50ml) . The aqueous phase was adjusted to pH = 11 and then taken to dryness. The residue was redissolved in dry methanol (20 ml) and 4 drops of H 2 SO. (cone) was added. The solution was heated under reflux for c_a_ 4h. and stirring continued at RT for a further 18h. Removal of solvent in vacuo, gave a gummy residue which was purified by reverse phase HPLC (see below), yielding a clear oil of 4, 9-diaza-3, 3, 10, 10- tetramethyldodecan-2, 11-dione dioxime-8-carboxylic acid methyl ester, (150mg). HPLC System : Gradient : 0% - 100% Solvent B over 20 ' Retention Time of Product : 4.5 minutes Analysis : 1 H NMR : CD 3 OD δ (ppm) : 1.50 (s, 12H, "CH.-), 1.95 (m, 4H, CH 2 and s, 6H, CH 3 -C=N-0) 3.00 (t, 2H, -CH 2 -N), 3.60 (t, 1H, N-CH), 3.70 (s, 0-CH 3 ) . Example 16 Synthesis of 5.9-Diaza-4.4.10.10-tetramethyltridecan- 2.12-dione dioxime (Compound XVII) A 5.9-diaza-4.4.10.10-tetramethyltridecan-2.12-dione di(O-benzvloxime) .2HC1 4-Methylpent-3-en-2-one (2g; 20.4 mmol) was added with stirring to 1 ,3-diaminopropane (0.74g, 10mmol). The progress of the reaction was monitored by C NMR and after a period of 20 minutes, the reaction was judged to be complete. Methanol (10 ml) and 0- benzylhydroxylamine hydrochloride (3.25g, 20.4 mmol) were added to the reaction mixture. The reaction was stirred for £a. 1h. after which time the solvent was removed in vacuo to give a yellow viscous material. Water (20 ml) was added and the product was extracted into dichloromethane. The dichloromethane was removed in vacuo to give the crude product as a honeycomb solid. Recrystallisation from water/methanol (95:5%) gave the product as colourless plates, (3.2g, 65%). Analysis m.p. : 163-165°C Elemental Analysis, for C 2 9 H 44 N °2• 2HC1 ■ 2H 2° Expected : C 59.07, H 8.55, N 9.50. Found : C 59.36, H 8.55, N 9.98 % 1 H NMR : CDC1 3 /TMS δ (ppm) : 1.38 (12H, s, CH.-), 1.94 (6H, s, CH.-), 2.15 (2H, m, CH 2 ), 2.57 (4H, s, CH 2 ), 2.91 (4H, m ,NCH 2 ), 5.08 (4H, s, OCH2), 7.31 (10H brs). 13 C NMR : CD 3 OD δ (ppm) : 17.32 (x2)(CH 3 ), 24.23 (x4)(CH 3 ), 25.02 (CH 2 ), 39.76 (x2)(CH 2 ), 42.84 (x2)(CH 2 ), 60.48 (x2)(q), 76.64 (x2)(CH 2 ), 128.93 (x2)(CH), 128.93 (x2)(CH), 128.98 (x4)(CH), 129.51 (x4)(CH), 139.17 (x2)(q) 156.72 (x2)(q). B 5.9-Diaza-4.4.10.10-tetramethyltridecan-2.12- dione dioxime To a stirred solution of the O-benzyl protected material prepared above (200mg) in a mixture of methanol (15 ml) and formic acid (5 ml), under a dry dinitrogen atmosphere, was added a 10% palladium on carbon catalyst (20mg) . This mixture was hydrogenated at atmospheric pressure until the reaction was complete (ca 1h.). The reaction mixture was filtered through a glass frit (porosity 4) and celite, and the solvent and other volatile components then removed in vacuo,yielding the product as a glassy semi-solid in essentially quantitative yield. To ensure a completely pure product, a small quantity of this material was dissolved in water and treated with sodium hydrogen carbonate prior to performing reverse phase HPLC using water/methanol (50:50%) as the eluent. The product was isolated as a viscous liquid. Analysis 1 H NMR : D 2 0/DSS δ (ppm) : 1.42 (12H, s, CH.-), 1.94 (6H, s, CH 3 ), 2.12 (2H, m, CH 2 ), 2.67 (4H, s, CH 2 ), 3.14 (4H, m ,NCH 2 ) . 13 C NMR : CD 3 OD δ (ppm) : 16.16 (x2)(CH.-), 24.71 (x4)(CH.-), 24.94 (CH 2 ), 39.67 (X2)(CH 2 ), 42.31 (x2)(CH 2 ), 59.96 (x2)(q), 155.75 (x2)(q). Example 17 Synthesis of 5.1O-Diaza-4.4.11.11-tetramethyltetradecan-2. 13-dione dioxime (Compound XVIII) A 5.1O-Diaza-4.4.11.11-tetramethyltetradecan-2.13-dion di (O-benzyloxime) .2HC1 This material was prepared as described previously for Compound XVII from 4-methylpent-3-en-2-one, (2g, 20 mmol), 1 ,4-diaminobutane (0.9g, 10 mmol) and O- benzylhydroxylamine hydrochloride (3.18g, 20 mmol) in methanol (25 ml) . After the addition of the 0- benzylhydroxylamine hydrochloride the reaction was stirred overnight. Methanol was removed in vacuo to give a yellow viscous oil. Water (20 ml) and dichloromethane (20 ml) were added to the residue and the mixture was shaken vigorously. On standing the product crystallised at the interface of the liquids as colourless needles, (2.6g, 47%). Analysis m.p. : 157-160°C Elemental Analysis, for C 30 H 4 6 N 4°2- 2HC1 - 2H 2° Expected : C 59.69, H 8.68, N 9.28. Found : C 59.66, H 9.09, N 9.58 % 1 H NMR : CDC1 3 /TMS δ (ppm) 1.43 (12H, s, CH 3 ), 1.84 (4H, CH 2 ), 1.94 (6H, s, CH 3 ), 2.67 (4H, s, CH 2 ), 2.89 (4H, m ,NCH 2 ), 5.08 (4H, s, OCH2), 7.32 ( 10H m) . 13 C NMR : CDC1 3 /TMS δ (ppm) : 17.22 (x2) (CH 3 ) 23.56 (x4) (CH.-), 23.82 (X2) (CH 2 ), 40.54 (x2) (CH 2 ), 42.96 (x2) (CH 2 ) 59.90 (x2) (q), 75.79 (x2) (CH 2 ), 127.90 (x5) (CH), 128.56 (x4) (CH), 138.12 (x2) (q), 154.48 (x2) (q) . B 5.10-Diaza-4.4.11.11-tetramethyltetradecan-2.13- dione dioxime To a stirred solution of the O-benzyl protected material prepared above (200mg) in a mixture of methanol (15 ml) and formic acid (5 ml), under a dry dinitrogen atmosphere, was added a 10% palladium on carbon catalyst (20mg) . This mixture was hydrogenated at atmospheric pressure until the reaction was complete (ca 1h.). The reaction mixture was filtered through a glass frit (porosity 4) and celite, and the solvent and other volatile components then removed in vacuo,yielding the product as a colourless semi-solid in essentially quantitative yield. Analysis 1 H NMR : D 2 0/DSS δ (ppm) : 1.41 (12H, s, CH 3 ), 1.76 (4H, br, CH 2 ), 1.93 (6H, s, CH 3 ), 2.67 (4H, s, CH 2 ), 3.07 (4H, m ,NCH 2 ) . 13 C NMR : D 2 0/DSS δ (ppm) : 1 8 . 20 ( x2 ) ( CH 3 ) , 25 . 96 ( x2 ) ( CH 2 ) , 26 . 04 (x4)(CH 3 ), 43.02 (x2)(CH 2 ), 43.85 (x2)(CH 2 ) 61.36 (x2)(q), 159.54 (x2)(q). Example 18 Preparation of 99mTc Complexes The following general method was used to prepare the 9 999mm TTcc ccoommpplleexxeess ooff tthhee ligands given in Examples I, II, VI to IX and XII to XV. Ligand (1mg) was dissolved in a mixture of 0.1M HCl (0.1ml) and distilled water (0.9ml) in a sealed vial. The pH of the ligand solution was adjusted to pH = 8 99m - using 0.1M NaOH, and 0.25GBq TcO. , (1ml generator eluate), stannous tartrate, (0.3ml of a 0.1mg/ml solution in water) and 0.9% aq. NaCl (3ml) was added. After standing at room temperature for ca. 30' the RCP of the 99mTc complex was assessed by TLC and HPLC : Technetium Complex of Compound I Compound II Compound VI Compound VII Compound VIII Compound IX Compound XII Compound XIII Compound XIV Compound XV Compound XVI = two 99mTc-labelled isomers observed by HPLC Preparation of 99mTc Complex of Compounds III. IV. XI. H 2 dddo. XVII. and XVIII Ligand (0.25mg) was dissolved in a mixture of 0.1M HCl (0.1ml) and distilled water (0.9ml) in a sealed vial. The pH of the ligand solution was adjusted to pH = 8 99m using 0.1M NaOH, and 0.25GBq TcO.-, (1ml generator eluate), stannous tartrate, (0.3ml of a 0.1mg/ml solution in water) and 0.9% aq. NaCl (3ml) was added. After standing at room temperature for ca. 30 ' the RCP of the 99mTc complex was assessed by TLC and HPLC : 99m Technetium Complex of Tc Complex HPLC (%) (t R minutes) 4.0 5.3 3.8 6.4 4.1 3.4 Preparation of Tc Complex of Compound V Ligand (0.2mg) was dissolved in methanol (50 QQm microlitres) in a sealed vial, and 0.25GBq TcO.-, (1ml generator eluate), stannous tartrate, (1ml of a 0.1mg/ml solution in water) and 0.9% aq. NaCl (4ml) was added to the mixture. After standing at room 99m temperature for ca. 30 ' , >95% Tc complex was formed as judged by TLC and HPLC (t R = 9.3') . Analytical Methods : Thin Layer Chromatography: Whatman No. 1 paper eluted with 50% aqueous acetonitrile. Reduced hydrolysed Tc = R f 0.0. ITLC SG eluted with 0.9% aq. NaCl Free pertechnetate = R f 1.0. 99m % Tc Complex = 100 - free pertechnetate - reduced hydrolysed Tc HPLC : Hamilton PRP-1 column, eluted at 2ml/min. Gradient System: 100% pH = 5.6 50mM sodium acetate to 100' tetrahydrofuran over 17 minutes. Example 19 a) Zinc in ammonium chloride solution reduction test Zinc powder (20mg) was weighed into a glass vial. The vial was capped, oversealed and purged with nitrogen gas. Nitrogen purged (2mg/ml] ammonium chloride solution (1ml) was added to the vial containing the zinc powder. 1ml of the 99mTc-complex preparation was then added to the reducing mixture, shaken and left standing for 15 minutes. The mixture was then filtered into a N_ filled vial through an 0.22μm Acrodisc filter. The filtrate was then assayed by HPLC. Using this method a positive result was indicated by changes in the HPLC behavior of the complex. In practice this usually involved the loss of the original 99mTc- complex HPLC peak and the appearance of another new peak or peaks in the HPLC. No change in the HPLC profile of a 99mTc-complex was noted as a negative result. The 99mTc-complexes of the following ligands gave positive test results: Compounds I, II, and IV - X. QQm The Tc-complexes of the following ligands gave negative test results: Compound III, PentAO. b) Xanthine oxidase (XOD) with hypoxanthine in phosphate buffered saline (PBS) 10 Xanthine oxidase (16mg) was weighed into a P6 vial, the vial was capped, oversealed and purged with nitrogen gas. Nitrogen purged phosphate buffered saline (1ml) was added to the vial containing the xanthine oxidase. 15 Hypoxanthine (4.1mg) was weighed into a P6 vial. The vial was capped, oversealed and purged with nitrogen gas. To the hypoxanthine was added (1ml) of the xanthine 20 oxidase in PBS. 1ml of the ligand solution or 1ml of the 99m Tc-complex preparation was then added to the reducing mixture, shaken, and aliquots 25 were taken at 20 minute time intervals. These were assayed by HPLC as given in Example 11a (above). 30 The 99mTc-complexes of the following ligands gave positive test results: Compounds I, II, IV, V and X. 35 Example 20 Biodistribution in rats - Methods The quantitative biodistribution was studied in male rats at 2 minutes, 1 hour and 4 hours post-injection Rats under light anaesthesia were injected intravenously with 0.1ml of test agent. Three rats were sacrificed (anaesthesia followed by exsanguination) at 2 , 60 and 240 minutes, post- injection. The percentage of the injected dose in the excreta and organs and tissues was determined by dissection and assay for radioactivity in an automatic gamma counter. Table 2 shows the data for the complexes studied with figures expressed as percent injected dose. Example 2 Isolated Perfused Heart In the experimental model isolated (Langendorff) rat hearts are perfused, following an initial equilibration period, with either oxic gassed (95% 0„, 5% CO.-) or hypoxic gassed (95% N 2 , 5% C0 2 ) modified Kreb's- Henseleit buffer at constant flow. For both studies a mixture of test agent ( 99mTc complex or 1 3I-IAZA) , 3 H-misonidazole and 14C-DTPA are slowly infused into the perfusate for a 20 minute period. A 15-minute cold buffer washout period follows, y activity in the heart is monitored using a collimated Nal probe detector positioned over the heart. Samples of active perfusate and hearts are assayed for y counts and, following suitable processing using standard techniques, β-counts. Activity in hearts, relative to perfusate activity, is calculated for each nuclide and data evaluated for each compound for activity in hypoxic and oxic hearts 3 (hypoxic:oxic ratio) and also relative to the H- misonidazole activity (normalised retention) using Formula 1. Formula 1 : Normalised retention = activity in heart (test) / activity in heart ( H-miso) 3 total infused activity (test) total infused activity( H-mis Results Table 1 gives the results. Typical graphical probe oouuttppuutt ddaattaa ffoorr 9 999mmTTcc ccoormplexes of Compound I, Compound IV and PnAO are appended. 99m,Tc complex of Compound I, BnAO 54 2.2 Compound II 28 5.1 Compound IV 2.4 0.49 Compound V (Prior Art) 10 8.4 PnAO 5.1 0.50 Compound VI 3.2 0.67 Compound VII 8.8 1.5 Compound VIII 34 2.2 Compound IX 8.4 2.1 H 2 dddo 1.8 0.49 Compound XI 3.4 0.98 Compound XII 9.5 1.9 Compound XV 1.2 1.4 Compound XVI 4.0 0.22 123 I-IAZA 10 2.7 Example 22 A formulated freeze dried kit has been prepared which contains a lyophilised mixure of 0.20mg of Compound I, 0.04mg of methylene diphosphonic acid, 0.02mg of stannous chloride dihydrate, 2.8mg of sodium hydrogen carbonate and 4.9mg of sodium chloride. When a kit of this composition is reconstituted with ""TC- pertechnetate generator eluate in sterile saline (0.9% w/v) , the "'Tc-complex of Compound I is formed in >98% radiochemical purity after a reaction time of fifteen minutes at room temperature. Conclusion In the isolated buffer perfused rat heart model described the H/O ratio of the "^Tc complexes of compounds I and II are significantly greater than seen for other ""TC test agents and I-IAZA. In addition the normalised hypoxic retention for both compounds is an intermediate value being greater than that for "'Tc-PnAO and being at least 2 times greater than H misonidazole itself in the model and at least eeqquuiivvaalleenntt ttoo 1 12233II-IAZA (a radioiodine compound known to image hypoxia) . References 1)W A Volkert et al., Int.J.Nucl.Med.Biol. , H, 243 (1984) . 2)F Budsky et al., Nukleon, (1), 14 (1990). CA 113 187327d. 3)S Jurisson et al. Inorg.Chem., 2£ 3576 (1987). 4)D E Troutner et al., Acta.Cryst.Sect.C., C40, 1544 (1984) . 5)D E Troutner et al. Paper INOR 129, ACS 192nd Meeting, 7-12 Sept (1986). 6)D Groshar et al., J.Nucl.Med. 3_4_, 885 (1993). 7)R B Moore et al. ibid, 14, 405 (1993). 8)W J Koh et al. ibid, 4 Supplement P252 (1989). 9)E G Vassian et al., Inorg.Chem., £, 2043 (1967). 10)E O Schlemper et al. J.Coor .Chera., 16., 347 (1988). Table 2 Rat Biodistribution - i » 7 - Table 2 Rat Biodistribution ( continued )

Claims: Q hl ∑L 1. A radiometal complex of a substituted or unsubstituted ligand, whereby such complex has the intrinsic property of localising in tumours or hypoxic tissue, and wherein the ligand is not substituted by any hypoxia-localising moiety, for imaging or radiotherapy of hypoxic tissue. 2. The complex of claim 1, wherein the complex is neutral. 3. The complex of claim 1 or claim 2, wherein the radiometal is technetium, rhenium, rhodium or cobalt. 4. The complex of any one of claims 1 to 3, having the formula (TcOL), where L is the ligand. 5. The complex of any one of claims 1 to 4, where the ligand is a diaminedioxime. 6« The complex of claim 5, where the diaminedioxime ligand is: where n = 2 - 5, m = 0, 1 , 2, Y is independently H or R, R, R' are independently: H, C 1-10 linear or branched hydrocarbon which may be alkyl or one or more of alkenyl; alkoxy; alkoxyalkyl; primary, secondary or tertiary amide; primary, secondary or tertiary amine; carboxylic acid; hydroxyalkyl; aryl; heterocyclic; heteroaryl or two R groups taken together with the atom(s) to which they are attached form a carbocyclic, heterocyclic, saturated or unsaturated spiro or fused ring; or the two R groups of a CR 2 or CRR' group adjacent to a NR group may be combined to give one or more -CONR- amide groups, A and B are independently chosen and: either each A and B is -CR 2 ~, or AA and/or BB is -CR=CR- , -N=N- , -NR-NR- or -N=CR-, or AAA is -CR 2 -0-CR 2 " , -CR 2 -S-CR 2 ~ or -CR 2 -NR-CR 2 ~. 7. The complex of any one of claims 1 to 6, where the ligand is and Y, R and R ' are H or C, _ alkyl, and the radiometal is 99m Tc. 8. The complex of any one of claims 1 to 7, where the ligand is and the radiometal is 99m Tc. 9. The complex of any one of claims 1 to 8, where the ligand is /- (^CRπ 22 )j 3 -^ HO OH and Y, R and R ' are H or C j 3 alkyl , and the radiometal is 99ra Tc . 1 0 . The complex, of any one of claims 1 to 6 and 9 , where the ligand is PnAO and the radiometal is 99m TC. 11. A radiometal complex having the intrinsic property of localising in tumours or hypoxic tissue, of a radiometal with a ligand having the structure 2 where at least one R is -A-R , where A is a 2 linking group and R is a hypoxia localising moiety, Y is independently H or R, and the other R and R ' are independently: H, C._ 10 linear or branched hydrocarbon which may be alkyl or one or more of alkenyl; alkoxy; alkoxyalkyl; primary, secondary or tertiary amide; primary, secondary or tertiary amine; carboxylic acid; hydroxyalkyl; aryl; heterocyclic; heteroaryl or two R groups taken together with the atom(s) to which they are attached form a carbocyclic, heterocyclic, saturated or unsaturated spiro or fused ring; or the two R groups of a CR 2 or CRR' group adjacent to a NR group may be combined to give one or more -CONR- amide groups. 12. A ligand having the structure where n = 2 - 5, m = 0, 1 , 2, Y is independently H or R, R, R ' are independently: H, C« 10 linear or branched hydrocarbon which may be alkyl or one or more of alkenyl; alkoxy; alkoxyalkyl; primary, secondary or tertiary amide; primary, secondary or tertiary amine; carboxylic acid; hydroxyalkyl; aryl; heterocyclic; heteroaryl or two R groups taken together with the atom(s) to which they are attached form a carbocyclic, heterocyclic, saturated or unsaturated spiro or fused ring; or the two R groups of a CR 2 or CRR ' group adjacent to a NR group may be combined to give one or more -CONR- amide groups, A and B are independently chosen and: either each A and B is -CR 2 ~, or AA and/or BB is -CR=CR- , -N=N- , -NR-NR- or -N=CR-, or AAA is -CR 2 -0-CR 2 - , -CR 2 ~S-CR 2 - or -CR 2 -NR-CR 2 -. provided that at least one R may be -A-R 2 where A is a linking group and R is a hypoxia localising moiety, with the proviso ' s that when all Y=H and: i) n=3, then m=1 or 2 ii) n=4, m=0, (A)= (CH 2 ) or (CHC β H 5 X) where X=H, Cl or OCH 3 , and all R=CH-., then R' is not H or CH 3 , iii) n=5 and m=0 then not all R and R' are CH_ iv) (A) n = (CH 2 ) 2 and R=R ' =CH 3 then m^O and (B)^CH 2 (v) n=2, then the ligand contains no more than one -CONR- amide group. 13. A ligand as claimed in claim 12 where n=4. 14 - ligand as claimed in claim 12 or claim 13, where Y=H, m=0 and R and R' are C, - alkyl. 15. A ligand as claimed in any one of claims 12 to 14 of structure: (CR ) HO OH where Y, R and R ' are H or C, 3 alkyl; with the proviso that when all Y=H, (A) = (CH 2 )., and all R=CH 3 then R' is not H or CH 3 . 16. A radiometal complex of the ligand claimed in any one of claims 12 to 15. 17. A complex as claimed in claim 16, wherein the radiometal is 99mTc. 18. A radioimaging kit comprising a ligand according to any one of claims 12 to 15, said kit adapted on addition of 99mTc pertechnetate solution to form a complex according to claim 17. 19. A kit as claimed in claim 18 wherein the ligand and a stannous reducing agent are present in a freeze-dried state. 20. A method for imaging or radiotherapy of hypoxic tissue of a patient, which method comprises administering to the patient an effective amount of a complex according to any one of claims 1 to 11 and 16 to 17.

Inventors: ARCHER COLIN MILL, BURKE JAMES FREDERICK, CANNING LEWIS REUBEN, EDWARDS BARBARA, KING ADAM CHARLES, ARCHER, COLIN, MILL, BURKE, JAMES, FREDERICK, CANNING, LEWIS, REUBEN, EDWARDS, BARBARA, KING, ADAM, CHARLES
Applicants: AMERSHAM INT PLC, ARCHER COLIN MILL, BURKE JAMES FREDERICK, CANNING LEWIS REUBEN, EDWARDS BARBARA, KING ADAM CHARLES, AMERSHAM INTERNATIONAL PLC, ARCHER, COLIN, MILL, BURKE, JAMES, FREDERICK, CANNING, LEWIS, REUBEN, EDWARDS, BARBARA, KING, ADAM, CHARLES
Application year: 1994
Main classification: A61K51
IPC codes: A61K51, A61P35, C07B59, C07C251, C07D233, C07F13